Variable Overall, N = 95 accepted, N = 551 not accepted, N = 401 p-value2
Year 0.10
2019 21 (22%) 10 (18%) 11 (28%)
2014 15 (16%) 6 (11%) 9 (22%)
2015 15 (16%) 13 (24%) 2 (5.0%)
2016 15 (16%) 8 (15%) 7 (18%)
2017 15 (16%) 8 (15%) 7 (18%)
2018 14 (15%) 10 (18%) 4 (10%)
Quarter 0.2
3 28 (29%) 18 (33%) 10 (25%)
4 26 (27%) 18 (33%) 8 (20%)
1 25 (26%) 13 (24%) 12 (30%)
2 16 (17%) 6 (11%) 10 (25%)
Recipient 0.089
KY 10 (11%) 5 (9.1%) 5 (12%)
WI 9 (9.5%) 4 (7.3%) 5 (12%)
MA 8 (8.4%) 6 (11%) 2 (5.0%)
UT 7 (7.4%) 5 (9.1%) 2 (5.0%)
NYC 6 (6.3%) 3 (5.5%) 3 (7.5%)
NYS 6 (6.3%) 2 (3.6%) 4 (10%)
FL 5 (5.3%) 4 (7.3%) 1 (2.5%)
NJ 5 (5.3%) 3 (5.5%) 2 (5.0%)
CA 4 (4.2%) 4 (7.3%) 0 (0%)
ME 4 (4.2%) 1 (1.8%) 3 (7.5%)
MN 4 (4.2%) 4 (7.3%) 0 (0%)
WA 4 (4.2%) 3 (5.5%) 1 (2.5%)
CO 3 (3.2%) 3 (5.5%) 0 (0%)
MD 3 (3.2%) 1 (1.8%) 2 (5.0%)
MO 3 (3.2%) 1 (1.8%) 2 (5.0%)
NH 3 (3.2%) 0 (0%) 3 (7.5%)
CT 2 (2.1%) 0 (0%) 2 (5.0%)
IA 2 (2.1%) 2 (3.6%) 0 (0%)
LA 1 (1.1%) 0 (0%) 1 (2.5%)
NM 1 (1.1%) 0 (0%) 1 (2.5%)
OR 1 (1.1%) 1 (1.8%) 0 (0%)
RI 1 (1.1%) 1 (1.8%) 0 (0%)
SC 1 (1.1%) 0 (0%) 1 (2.5%)
UH 1 (1.1%) 1 (1.8%) 0 (0%)
VT 1 (1.1%) 1 (1.8%) 0 (0%)
Start category 0.084
request 52 (55%) 34 (62%) 18 (45%)
routine 38 (40%) 17 (31%) 21 (52%)
response 5 (5.3%) 4 (7.3%) 1 (2.5%)
Problem category 0.4
Data or information gap 40 (42%) 23 (42%) 17 (42%)
Need for technical expertise 24 (25%) 11 (20%) 13 (32%)
Potential disease cluster/increased rates 11 (12%) 6 (11%) 5 (12%)
Potential exposure 11 (12%) 9 (16%) 2 (5.0%)
Potential association between health and exposure 9 (9.5%) 6 (11%) 3 (7.5%)
Primary EH topic 0.5
Multiple 18 (19%) 8 (15%) 10 (25%)
Lead poisoning 11 (12%) 7 (13%) 4 (10%)
Cancer 9 (9.5%) 5 (9.1%) 4 (10%)
Air Quality 7 (7.4%) 6 (11%) 1 (2.5%)
Radon 7 (7.4%) 4 (7.3%) 3 (7.5%)
Asthma 4 (4.2%) 3 (5.5%) 1 (2.5%)
Biomonitoring 4 (4.2%) 3 (5.5%) 1 (2.5%)
Community drinking water 4 (4.2%) 2 (3.6%) 2 (5.0%)
Carbon monoxide poisoning 3 (3.2%) 0 (0%) 3 (7.5%)
Community characteristics 3 (3.2%) 1 (1.8%) 2 (5.0%)
Heat Stress Illness 3 (3.2%) 1 (1.8%) 2 (5.0%)
Populations and Vulnerabilities 3 (3.2%) 2 (3.6%) 1 (2.5%)
Climate change 2 (2.1%) 1 (1.8%) 1 (2.5%)
Drought 2 (2.1%) 2 (3.6%) 0 (0%)
Immunization 2 (2.1%) 2 (3.6%) 0 (0%)
Private well water 2 (2.1%) 1 (1.8%) 1 (2.5%)
Toxic Substance Releases 2 (2.1%) 2 (3.6%) 0 (0%)
Vector-Borne Disease 2 (2.1%) 2 (3.6%) 0 (0%)
ALS 1 (1.1%) 0 (0%) 1 (2.5%)
Community design 1 (1.1%) 0 (0%) 1 (2.5%)
Hazardous waste site 1 (1.1%) 1 (1.8%) 0 (0%)
Lyme Disease 1 (1.1%) 1 (1.8%) 0 (0%)
Obesity 1 (1.1%) 0 (0%) 1 (2.5%)
Pesticide Exposures 1 (1.1%) 0 (0%) 1 (2.5%)
Reproductive and Birth Outcomes 1 (1.1%) 1 (1.8%) 0 (0%)
Secondary EH topic >0.9
Community drinking water 2 (33%) 1 (25%) 1 (50%)
COPD 1 (17%) 1 (25%) 0 (0%)
Life Expectancy 1 (17%) 1 (25%) 0 (0%)
Populations and Vulnerabilities 1 (17%) 0 (0%) 1 (50%)
Traffic 1 (17%) 1 (25%) 0 (0%)
Tertiary EH topic
Comminuty characteristics 1 (50%) 1 (50%) 0 (NA%)
Noise Pollution 1 (50%) 1 (50%) 0 (NA%)
Tracking data and tools leveraged 76 (80%) 44 (80%) 32 (80%) >0.9
Tracking role: active or passive >0.9
Active 80 (84%) 47 (85%) 33 (82%)
Passive 15 (16%) 8 (15%) 7 (18%)
Tracking role 0.8
Provided expertise or recommendations 36 (38%) 19 (35%) 17 (42%)
Enhanced surveillance 32 (34%) 20 (36%) 12 (30%)
Provided training, outreach, or education 12 (13%) 6 (11%) 6 (15%)
Analyzed data 11 (12%) 7 (13%) 4 (10%)
Conducted an investigation 4 (4.2%) 3 (5.5%) 1 (2.5%)
Output reported 84 (88%) 53 (96%) 31 (78%) 0.007
Output category 0.2
Additional data 26 (31%) 18 (34%) 8 (26%)
Tool 17 (20%) 11 (21%) 6 (19%)
Report 12 (14%) 8 (15%) 4 (13%)
Communication material 10 (12%) 4 (7.5%) 6 (19%)
Resource 10 (12%) 8 (15%) 2 (6.5%)
Training 4 (4.8%) 3 (5.7%) 1 (3.2%)
Presentation 3 (3.6%) 0 (0%) 3 (9.7%)
Recommendation 1 (1.2%) 1 (1.9%) 0 (0%)
Web exposure 1 (1.2%) 0 (0%) 1 (3.2%)
Output led to action 59 (72%) 43 (83%) 16 (53%) 0.009
Action actor 0.091
Other actor 65 (68%) 42 (76%) 23 (57%)
Tracking 21 (22%) 8 (15%) 13 (32%)
Both 9 (9.5%) 5 (9.1%) 4 (10%)
Other actors 0.3
State Goverment 37 (45%) 22 (43%) 15 (48%)
Local Government 19 (23%) 15 (29%) 4 (13%)
Community Members 8 (9.8%) 4 (7.8%) 4 (13%)
NGO or Non-profit 5 (6.1%) 2 (3.9%) 3 (9.7%)
Academic Institution 4 (4.9%) 4 (7.8%) 0 (0%)
Multiple 3 (3.7%) 2 (3.9%) 1 (3.2%)
Federal Government 2 (2.4%) 1 (2.0%) 1 (3.2%)
Unclear 2 (2.4%) 1 (2.0%) 1 (3.2%)
Media 1 (1.2%) 0 (0%) 1 (3.2%)
Private company 1 (1.2%) 0 (0%) 1 (3.2%)
Action category 0.4
Developed training, outreach campaign, or educational materials 25 (26%) 12 (22%) 13 (32%)
Improved data quality and access 23 (24%) 10 (18%) 13 (32%)
Improved or informed public health program or intervention 13 (14%) 9 (16%) 4 (10%)
Provided information in response to concern 13 (14%) 9 (16%) 4 (10%)
Informed impact assessment or city planning 10 (11%) 8 (15%) 2 (5.0%)
Identified potential source of exposure 6 (6.3%) 3 (5.5%) 3 (7.5%)
Inform new policy, legislation, or regulation 2 (2.1%) 2 (3.6%) 0 (0%)
Issued health alerts and advisories 2 (2.1%) 1 (1.8%) 1 (2.5%)
Implemented intervention to prevent exposures 1 (1.1%) 1 (1.8%) 0 (0%)
Impact evidence 0.041
Not yet 58 (61%) 39 (71%) 19 (48%)
No 28 (29%) 11 (20%) 17 (42%)
Yes 9 (9.5%) 5 (9.1%) 4 (10%)

1 Statistics presented: n (%)

2 Statistical tests performed: chi-square test of independence; Fisher's exact test